Prime Mdcare Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIME MDCARE INC

Practice address

20430 Starshine Rd
Walnut, CA 91789-3539

Phone

(310) 910-7329

Fax

(310) 388-0126

NPI assigned

Apr 10, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Prode P Pascual, MD

Title

President/Ceo

Phone

(310) 910-7329

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1902659733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20430 STARSHINE RD",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893539",
            "telephone_number": "310-910-7329",
            "fax_number": "310-388-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20430 STARSHINE RD",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893539",
            "telephone_number": "310-910-7329",
            "fax_number": "310-388-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MDCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "PASCUAL",
        "authorized_official_first_name": "PRODE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-910-7329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert Mari Guerrero Ramos

• Family Medicine Physician in Walnut, CA
• Providers in Walnut, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.